| NPI | 1467024984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIPPE MEDINA C.E.O 917-294-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |